PMID- 34342112
OWN - NLM
STAT- MEDLINE
DCOM- 20211224
LR  - 20211224
IS  - 1741-6612 (Electronic)
IS  - 1440-6381 (Linking)
VI  - 40
IP  - 4
DP  - 2021 Dec
TI  - Clinical pathways for the evidence-based management of behavioural and 
      psychological symptoms of dementia in a residential aged care facility: A rapid 
      review.
PG  - 347-355
LID - 10.1111/ajag.12990 [doi]
AB  - OBJECTIVES: We aimed to identify a clinical pathway, or practice guidelines to 
      inform a clinical pathway, for the management of behavioural and psychological 
      symptoms of dementia (BPSD) in residential aged care facilities (RACFs). METHODS: 
      Fifteen evidence sources were searched, and publications were appraised for 
      methodological quality. RESULTS: Seven publications met the inclusion criteria, 
      but no clinical pathways were found. These publications emphasised prevention via 
      respectful, person-centred care; non-pharmacological interventions prioritised; 
      and potential dangers of antipsychotic use. Pharmacological management was only 
      recommended: when there is a high risk of harm; as a short-term option, to be 
      regularly monitored and discontinued as soon as possible; and used in conjunction 
      with investigation into the causes of BPSD and the introduction of 
      non-pharmacological therapies. CONCLUSION: This rapid review provided 
      high-quality, current guidelines and recommendations on the prevention and 
      management of BPSD that can inform the development of an evidence-based clinical 
      pathway for use in Australian RACFs.
CI  - (c) 2021 AJA Inc.
FAU - Kennedy, Kate J
AU  - Kennedy KJ
AUID- ORCID: 0000-0002-9246-3533
AD  - Rosemary Bryant AO Research Centre, University of South Australia, Adelaide, SA, 
      Australia.
FAU - Forsythe, Deborah
AU  - Forsythe D
AD  - Rosemary Bryant AO Research Centre, University of South Australia, Adelaide, SA, 
      Australia.
FAU - Wagner, Joanne
AU  - Wagner J
AD  - Eldercare Inc., Payneham, SA, Australia.
FAU - Eckert, Marion
AU  - Eckert M
AD  - Rosemary Bryant AO Research Centre, University of South Australia, Adelaide, SA, 
      Australia.
LA  - eng
GR  - Nurses Memorial Foundation of South Australia/
PT  - Journal Article
PT  - Review
DEP - 20210802
PL  - Australia
TA  - Australas J Ageing
JT  - Australasian journal on ageing
JID - 9808874
SB  - IM
MH  - Aged
MH  - Australia
MH  - Behavioral Symptoms
MH  - *Critical Pathways
MH  - *Dementia/diagnosis/therapy
MH  - Homes for the Aged
MH  - Humans
OTO - NOTNLM
OT  - Alzheimer disease
OT  - aged
OT  - dementia
OT  - homes for the aged
OT  - patient-centered care
EDAT- 2021/08/04 06:00
MHDA- 2021/12/25 06:00
CRDT- 2021/08/03 06:57
PHST- 2021/06/27 00:00 [revised]
PHST- 2020/11/04 00:00 [received]
PHST- 2021/07/12 00:00 [accepted]
PHST- 2021/08/04 06:00 [pubmed]
PHST- 2021/12/25 06:00 [medline]
PHST- 2021/08/03 06:57 [entrez]
AID - 10.1111/ajag.12990 [doi]
PST - ppublish
SO  - Australas J Ageing. 2021 Dec;40(4):347-355. doi: 10.1111/ajag.12990. Epub 2021 
      Aug 2.